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Heterotopic pregnancy presenting at 18 weeks' gestational age: a case report
William C McBee1, Stephen P Emery, Pedro F Escobar
1Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. wmcbee@metrohealth.org
Background:
Heterotopic pregnancy is a rare event that usually presents in the first 6-8 weeks of pregnancy.
Case:
A 35-year-old primigravida was referred to the hospital at 18+ weeks' gestational age for evaluation of chronic abdominal pain. Ultrasound revealed a heterotopic pregnancy. The patient underwent surgery for removal of the ectopic pregnancy.
Conclusion:
Heterotopic pregnancy can present at any time during pregnancy and should be considered in any pregnant woman with abdominal pain.